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Pediatric penile anthropometry nomogram: Establishing standardized reference values.

Prabudh Goel1, Prativa Choudhury1, Sampreeti Mukherjee1

  • 1Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.

Journal of Pediatric Urology
|December 21, 2024
PubMed
Summary
This summary is machine-generated.

This study created an age-based penile length chart for Indian boys aged 1-14 years. The findings help define normal penile growth and aid in diagnosing conditions like hypospadias.

Keywords:
AnthropometryCentile curvesGAMLSSLMS methodNomogramStretched penile length

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Area of Science:

  • Pediatric endocrinology
  • Urology
  • Anthropometry

Background:

  • Penile anthropometry is crucial for assessing male genital development and identifying abnormalities.
  • Establishing age-related norms is essential for clinical management, particularly for conditions affecting penile length.

Purpose of the Study:

  • To develop an age-specific penile length nomogram for Indian children (1-14 years).
  • To define the range of normal penile length for different age groups.
  • To provide age-matched reference data for managing pediatric urogenital conditions like hypospadias.

Main Methods:

  • A cross-sectional study involving 1276 Indian boys aged 1-14 years.
  • Stretched penile length (SPL) was measured and recorded along with age and weight.
  • Generalized additive models for Location, Scale, and Shape (GAMLSS) were used to generate centile curves for SPL.

Main Results:

  • Stretched penile length (SPL) significantly increases with age, from 3.4 cm at 1 year to 12.7 cm at 14 years.
  • Non-linear growth patterns were observed, with accelerated SPL increases during early childhood (2-4 years) and puberty (10-14 years).
  • Centile curves were generated, providing a reference range for normal penile length across different ages.

Conclusions:

  • This study provides the largest dataset for pediatric stretched penile length in the Indian population.
  • The developed nomogram serves as a valuable tool for parents and physicians in evaluating penile development.
  • The data will aid in the accurate assessment and management of pediatric patients with conditions affecting penile size.